Michel Luise Maiers, O.D.

Key facts

NPI

1801966189

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

OEG001263 (PA)

Practice address

310 N 3Rd St
Youngwood, PA 15697-1614

Phone

(724) 925-2341

Fax

(724) 925-2386

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Youngwood Eye Care, Inc Optometrist · Youngwood, PA · NPI 1982887816
  Medicare reassignment Care Compare group NPD Authorized official OPTOMETRIST · PA

Medicare Care Compare profile

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Youngwood Eye Care Inc (3 clinicians)

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Dr. Michel Luise Pawlosky Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 13, 2018.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1801966189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N 3RD ST",
            "city": "YOUNGWOOD",
            "state": "PA",
            "postal_code": "156971614",
            "telephone_number": "724-925-2341",
            "fax_number": "724-925-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 3RD ST",
            "city": "YOUNGWOOD",
            "state": "PA",
            "postal_code": "156971614",
            "telephone_number": "724-925-2341",
            "fax_number": "724-925-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIERS",
        "first_name": "MICHEL",
        "middle_name": "LUISE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG001263",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "PA",
            "license": "OEG001263",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1982887816",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01973360",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHEL",
            "last_name": "PAWLOSKY",
            "middle_name": "LUISE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Youngwood, PA

• Homewell Senior Care Westmoreland County LLC
• Homewell Senior Care-Westmoreland County
• Innovative Wellness and Weight Loss Center
• Stephen Kelly, D.C.
• Larry D Long, DMD
• Marc Federico PT LLC
• Maria Kimmel Marquette, PHYSICIAN ASSISTANT
• Steven E. Mills, MD
• David Mondock
• Alex Daniel Morgan, DC

All providers in Youngwood, PA · Optometrist in Pennsylvania